颈内静脉长期留置导管在血液透析病人中的应用及护理被引量：5

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摘要 [目的]总结30例带cuff血液透析颈内静脉长期留置导管在维持性血液透析中的应用及护理经验,探讨长期留置导管并发症的防治方法。[方法]以我院30例颈内静脉留置带cuff血液透析长期留置导管进行维持性血液透析病人为研究对象,观察导管的使用及并发症情况。[结果 ]导管相关性感染3例,导管内血栓形成13例,导管扭曲1例,导管脱出1例,除2例重新置管外,其余病例经相应处理后均恢复。[结论]通过正确使用长期留置导管,早期发现和处理并发症,加强病人的健康教育,从而延长长期导管的使用寿命。

作者王琴

机构地区江苏省苏州市木渎人民医院

出处《全科护理》 2012年第27期2525-2526,共2页 Chinese General Practice Nursing

关键词血液透析长期留置导管并发症护理

分类号 R473.5 [医药卫生—护理学]

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参考文献6

1Quarello F,Forneris G,BorcaM,etal. Do central venous catheters have advantages over arteriovenous fistulas or grafts[J].J Neph- rol,2006,19:265 -279.
2叶朝阳.中心静脉长期留置导管面临的挑战和对策[J].中国血液净化,2011,10(9):465-467. 被引量：44
3马晓红,叶朝阳,杨亚娟,许敏.带涤纶环深静脉留置导管在血液透析患者中的应用及护理[J].解放军护理杂志,2005,22(7):62-63. 被引量：12
4龙春姣,李远明,孙永超,王露芳,彭兰,谢辉乐,伍锟.透析间期抗凝对血液透析长期留置管生存寿命的影响[J].中国血液净化,2011,10(10):535-537. 被引量：18
5Mark A, Crowther Catherine M, Clase Peter J, et al. Low - inten- sity warfarin is ineffective for the prevention of PTFE graft failure in patients on hemodialysis :a randomized controlled trial[J]. J Am Soc Nephrol,2002,13:2331 -2337.
6汤锋,周巧巧,李凤娥,王革,贺欣,张萍,杨丽南.血流量大小对带cuff中心静脉导管血液透析患者透析充分性的影响[J].中国血液净化,2011,10(9):475-478. 被引量：11

二级参考文献56

1Pannu N,Jhangri GS,Tonelli M.Optimizing dialysis delivery in tunneled dialysis catheters[J].ASAIO J,2006,52:157-162.
2Level C,Lasseur C,Chauveau P,et al.Performance of twin central venous catheters:influence of the inversion of inlet and outlet on recirculation[J].Blood Purif,2002,20:182-188.
3Allon M.Fistula First:recent progress and ongoing challenges,Am J Kidney Dis,2011,57:3-6.
4Polkinghorne KR,Seneviratne M,Kerr PG.Effect of a vascular access nurse coordinator to reduce central venous catheter use in incident hemodialysis patients:a quality improvement report.Am J Kidney Dis,2009,53:99-106.
5Bradbury BD,Chen F,Furniss A,Pisoni RL,Keen M,Mapes D,et al.Conversion of vascular access type among incident hemodialysis patients:description and association with mortality.Am J Kidney Dis,2009,53:804-814.
6Lacson E,Jr.,Wang W,Lazarus JM,Hakim RM.Change in vascular access and mortality in maintenance hemodialysis patients.Am J Kidney Dis,2009,54:912-921.
7Lacson E,Jr.,Wang W,Hakim RM,Teng M,Lazarus JM.Associates of mortality and hospitalization in hemodialysis:potentially actionable laboratory variables and vascular access.Am J Kidney Dis,2009,53:79-90.
8Goldstein SL,Ikizler TA,Zappitelli M,Silverstein DM,Ayus JC.Non-infected hemodialysis catheters are associated with increased inflammation compared to arteriovenous fistulas.Kidney Int,2009,76:1063-1069.
9Wystrychowski G,Kitzler TM,Thijssen S,Usvyat L,Kotanko P,Levin NW.Impact of switch of vascular access type on key clinical and laboratory parameters in chronic haemodialysis patients.Nephrol Dial Transplant,2009,24:2194-2200.
10Kanaa M,Wright M,Sandoe J.Examination of tunnelled haemodialysis catheters using scanning electron microscopy.Clin Micro and Infect,2010,16:780-786.